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自发性巨大肝血管瘤破裂——经导管动脉栓塞和切除的序贯治疗。

Spontaneous rupture of a giant hepatic hemangioma - sequential management with transcatheter arterial embolization and resection.

机构信息

Department of Gastro-intestinal Surgery, All India Institute of Medical Sciences, Delhi, India.

出版信息

Saudi J Gastroenterol. 2010 Apr-Jun;16(2):116-9. doi: 10.4103/1319-3767.61240.

Abstract

Hemangioma is the most common benign tumor of liver and is often asymptomatic. Spontaneous rupture is rare but has a catastrophic outcome if not promptly managed. Emergent hepatic resection has been the treatment of choice but has high operative mortality. Preoperative transcatheter arterial embolization (TAE) can significantly improve outcome in such patients. We report a case of spontaneous rupture of giant hepatic hemangioma that presented with abdominal pain and shock due to hemoperitoneum. Patient was successfully managed by TAE, followed by tumor resection. TAE is an effective procedure in symptomatic hemangiomas, and should be considered in such high risk patients prior to surgery.

摘要

肝血管瘤是肝脏最常见的良性肿瘤,通常无症状。自发性破裂较为罕见,但如果不及时处理,后果可能会很严重。紧急肝切除术一直是此类患者的首选治疗方法,但手术死亡率较高。术前经导管动脉栓塞术(TAE)可以显著改善此类患者的预后。我们报告了一例因肝内大出血导致腹痛和休克的巨大肝血管瘤自发性破裂病例。患者成功接受了 TAE 治疗,随后进行了肿瘤切除。TAE 是治疗有症状的肝血管瘤的有效方法,对于这类高危患者,应在术前考虑采用 TAE。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/343b/3016500/e8c244fe86d0/SJG-16-116-g001.jpg

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